Provider Demographics
NPI:1902526072
Name:HOGGATT, MARY GRETCHEN (LPC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:GRETCHEN
Last Name:HOGGATT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3657 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-2841
Mailing Address - Country:US
Mailing Address - Phone:719-301-5411
Mailing Address - Fax:
Practice Address - Street 1:4115 THUNDERCLOUD DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-4973
Practice Address - Country:US
Practice Address - Phone:503-318-4905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health